EASLEY DENTAL ASSOCIATES (NPI# 1700144300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700144300 |
| Entity Type | Organization |
| Organization Name | EASLEY DENTAL ASSOCIATES |
| Practice Address |
1040 S Pendleton St Ste C Easley SC 29642-1047 |
| Practice Telephone | 8643060800 |
| Mailing Telephone | 8643060800 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | DR. MIR JIM NASIM (OWNER) |
| Authorized Official Telephone | 8643060800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | SC | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZX3245 | 05 |
| Street Address |
1040 S PENDLETON ST STE C |
| City | EASLEY |
| State | SC |
| Zip Code | 29642-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255982567 | Oracle Pharmacy | Pharmacy | 1040 S Pendleton St Ste C, Easley, SC 29642-1047 | 2019-09-27 |
| 1649522202 | Brandon Walker Whitworth | Dentist | 1040 S Pendleton St Ste C, Easley, SC 29642-1047 | 2012-10-08 |
| 1952658932 | Trenton Mitchell Campbell | Dentist | 1040 S Pendleton St Ste C, Easley, SC 29642-1047 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316911 | Marlesia Hall | Licensed Practical Nurse | 106 Teal Dr, Easley, SC 29642 | 2020-11-06 |
| 1437648904 | Onsite Healthcare and Wellness LLC | Nurse Practitioner | 217 Sheffield Ct, Easley, SC 29642 | 2018-05-09 |
| 1477073476 | Aubre True | Specialist/Technologist | 124 Century Oaks Dr, Easley, SC 29642 | 2017-06-21 |
| 1912439944 | First Physical Therapy, LLC | Clinic/Center | 3613 Sc 153, Suite 200, Powdersville, SC 29642 | 2017-03-29 |
| 1801146485 | Sara Michele Calvert | Pharmacist | 1063 South Pendleton Street, Easley, SC 29642 | 2012-09-11 |
| 1023365251 | Heather Lilley | Pharmacist | 5251 Calhoun Memorial Hwy, Easley, SC 29642 | 2012-08-07 |
| 1942590088 | Mallorie Bryan Costner | Speech-Language Pathologist | 507 Huntington Road, Easley, SC 29642 | 2011-04-11 |
| 1225352339 | Jon Lawrence Rhoden | Pharmacist | 320 Watson Road, Easley, SC 29642 | 2010-03-18 |
| 1386865350 | Gordon David Dannelly | Dentist | 701 Brushy Creek Road, Easley, SC 29642 | 2007-05-01 |
| 1538280755 | Michelle Leigh Tucker | Obstetrics & Gynecology | 1351 Crestview Road, Easley, SC 29642 | 2007-04-03 |
| Find all providers in zip 29642 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174021265 | Lisa Burbage | Health Maintenance Organization | 14 Lockwood Dr Apt 12g, Charleston, SC 29401-1138 | 2018-01-24 |
| 1912410549 | Wellcare of South Carolina, Inc. | Health Maintenance Organization | 200 Center Point Cir Ste 180, Columbia, SC 29210-5895 | 2017-11-06 |
| 1629529698 | Clarendon Behavioral Health | Health Maintenance Organization | 14 N. Church Street, Manning, SC 29102 | 2016-10-14 |
| 1174070221 | Angela Marie Runion-thorne | Health Maintenance Organization | 104 Bob White Ln, Anderson, SC 29625-5717 | 2016-09-07 |
| 1710356464 | Devoted Care and Transition Services-hospice, LLC | Health Maintenance Organization | 429 Spring Oak Ln, Columbia, SC 29229-7165 | 2015-09-23 |
| 1609261270 | Lovely Doves LLC | Health Maintenance Organization | 525 Reed St Apt 33, 33, Kingstree, SC 29556-4051 | 2015-04-01 |
| 1023419678 | Grandmas Helping Hands | Health Maintenance Organization | 601 Englewood Dr, Greenville, SC 29605-5051 | 2014-09-12 |
| 1538502356 | Touch By An Angle Home Health Care | Health Maintenance Organization | 1222 Hampton Dr, Summerville, SC 29483-2020 | 2013-04-11 |
| 1528309606 | Portereshice Shunta Brabham | Health Maintenance Organization | 345 Amelia St, Fairfax, SC 29827-5967 | 2013-03-14 |
| 1316204522 | Low Country Massage & Wellness, LLC | Health Maintenance Organization | 1036 Mount Zion Ave, Georgetown, SC 29440-4823 | 2012-04-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EASLEY DENTAL ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.